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Medical Claims Specialist

2 months ago

Crystal River, Florida, United States PedIM Healthcare Full time
About Us

PedIM Healthcare is a leading provider of high-quality healthcare services. We are seeking a detail-oriented and experienced Medical Billing Specialist to join our team.

Benefits
  • Comprehensive Health Insurance with dental and vision coverage
  • 401K Plan with 4% match after 1 year of service
  • Paid Time Off
  • Opportunities for Professional Development and training
  • Supportive and Collaborative Work Environment
Responsibilities
  • Review and Process Medical Claims for accuracy and completeness
  • Verify Patient Billing Data and resolve any discrepancies
  • Generate and Submit Insurance Claims to payers promptly
  • Follow Up on Unpaid or Denied Claims and handle appeals as needed
  • Work with Patients to address billing inquiries and provide assistance with understanding their medical bills
  • Stay Up-to-Date with Medical Billing Codes, regulations, and compliance standards
  • Collaborate with Healthcare Providers and insurance companies to resolve billing issues
  • Prepare and Maintain Patient Billing Records and update information as necessary
Requirements
  • High School Diploma or Equivalent; associate's degree or relevant certification is a plus
  • Proven Experience as a Medical Billing Specialist in a healthcare setting
  • Strong Knowledge of medical billing and coding procedures
  • Proficiency in medical billing software and electronic health record (EHR) systems
  • Excellent Mathematical and Data Entry Skills
  • Exceptional Attention to Detail and problem-solving abilities
  • Strong Interpersonal and Communication Skills for patient interaction
  • Ability to Work Independently and meet deadlines
  • Familiarity with Insurance Claim Submission and payer requirements